Community Connection Support Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY CONNECTION SUPPORT SERVICES LLC

Practice address

1774 Cope Ave E Ste 120
Maplewood, MN 55109-2663

Phone

(651) 399-4410

NPI assigned

Jan 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Youa Her

Title

Ceo

Phone

(651) 399-4410

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1952162547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 COPE AVE E STE 120",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092663",
            "telephone_number": "651-399-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 COPE AVE E STE 120",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092663",
            "telephone_number": "651-399-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTION SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "YOUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-399-4410"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.